PGP Participant Survey
|
Responses submitted 10/11/2015 19:28:02.
Show responses
|
Timestamp |
10/11/2015 19:28:02 |
Year of birth |
1983 |
Sex/Gender |
Female |
Race/ethnicity |
White |
Maternal grandmother: Country of origin |
Austria |
Paternal grandmother: Country of origin |
Poland |
Paternal grandfather: Country of origin |
Poland |
Maternal grandfather: Country of origin |
Czech Republic |
Month of birth |
May |
Anatomical sex at birth |
Female |
Maternal grandmother: Race/ethnicity |
White |
Maternal grandfather: Race/ethnicity |
White |
Paternal grandmother: Race/ethnicity |
White |
Paternal grandfather: Race/ethnicity |
White |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 10/11/2015 19:48:37.
Show responses
|
Timestamp |
10/11/2015 19:48:37 |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 10/11/2015 19:49:08.
Show responses
|
Timestamp |
10/11/2015 19:49:08 |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 10/11/2015 19:49:44.
Show responses
|
Timestamp |
10/11/2015 19:49:44 |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 10/11/2015 19:50:55.
Show responses
|
Timestamp |
10/11/2015 19:50:55 |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 10/11/2015 19:51:49.
Show responses
|
Timestamp |
10/11/2015 19:51:49 |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 10/11/2015 19:52:21.
Show responses
|
Timestamp |
10/11/2015 19:52:21 |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 10/11/2015 19:53:07.
Show responses
|
Timestamp |
10/11/2015 19:53:07 |
Other condition not listed here? |
chronic non-allergic rhinitis |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 10/11/2015 19:54:02.
Show responses
|
Timestamp |
10/11/2015 19:54:02 |
Have you ever been diagnosed with any of the following conditions? |
Dental cavities, Gingivitis, Temporomandibular joint (TMJ) disorder |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 10/11/2015 19:54:48.
Show responses
|
Timestamp |
10/11/2015 19:54:48 |
Have you ever been diagnosed with any of the following conditions? |
Urinary tract infection (UTI) |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 10/11/2015 19:55:22.
Show responses
|
Timestamp |
10/11/2015 19:55:22 |
Have you ever been diagnosed with any of the following conditions? |
Eczema, Acne |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 10/11/2015 19:56:08.
Show responses
|
Timestamp |
10/11/2015 19:56:08 |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 10/11/2015 19:57:01.
Show responses
|
Timestamp |
10/11/2015 19:57:01 |
PGP Basic Phenotypes Survey 2015
|
Responses submitted 10/11/2015 20:00:36.
Show responses
|
Timestamp |
10/11/2015 20:00:36 |
1.1 — Blood Type |
Don't know |
1.2 — Height |
5'4" |
1.3 — Weight |
130 |
2.1 — Left Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
14 |
2.2 — Right Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
14 |
2.3 — Left Eye Color - Text Description |
orange-brown inside, then green, then blue-gray ring on the outside |
2.4 — Right Eye Color - Text Description |
same |
3.1 — What is your natural hair color currently, when without artificial color or dye? |
brown |
3.2 — Hair Color - Text Description |
light brown |
3.3 — Comments |
my hair was blond and curly until about age 3-5. Now it's light brown and straight. |
1.4 — Handedness |
Left |
Harvard PGP: COVID-19 Demographics Survey
|
Responses submitted 3/23/2020 19:37:26.
Show responses
|
Timestamp |
3/23/2020 19:37:26 |
What is the zip code of your primary residence? |
02130 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
36 |
What is your gender? |
Female |
Select all the following that apply to your current living arrangements. |
Live with partner/spouse, Live with child/children under age 18 |
What is your race? Pick all that apply. |
White, ashkenazi Jewish |
What is your ethnicity? |
Not Hispanic or Latino or Spanish Origin |
Select which one of the following applies to you and your birth status. |
None of the above |
Have you ever been diagnosed with any of the following? [Asthma (Adult)] |
No |
Have you ever been diagnosed with any of the following? [Asthma (Childhood)] |
No |
Have you ever been diagnosed with any of the following? [Chronic obstructive pulmonary disease (COPD)] |
No |
Have you ever been diagnosed with any of the following? [Emphysema] |
No |
Have you ever been diagnosed with any of the following? [Chronic bronchitis] |
No |
Have you ever been diagnosed with any of the following? [Pneumonia] |
No |
Have you ever been diagnosed with any of the following? [Type 1 Diabetes] |
No |
Have you ever been diagnosed with any of the following? [Type 2 Diabetes] |
No |
Have you ever smoked tobacco products? |
No |
Have you ever used e-cigarettes (e.g. JUUL, Vuse, MarkTen)? |
No |
Which one of the following best describes your employment status for the past 3 months? |
Employed: Working 40 or more hrs per week |
Select the category that best describes your occupation. |
veterinary medicine |
What is the zip code of your primary workplace/worksite? |
02142 |
Do you have a secondary workplace/worksite where you work more than 30 days a year? |
No |
If a vaccine against coronovirus (COVID-19) would reach the stage where it must be tested for safety and efficacy in humans, would you - assuming that you are eligible - be interested in taking part in that trial? |
Yes |
Harvard PGP: COVID-19 Health Assessment for Week of 22-28 March 2020
|
Responses submitted 3/23/2020 19:43:32.
Show responses
|
Timestamp |
3/23/2020 19:43:32 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Headache] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Aches all over the body] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Cough] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Rapid breathing] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Shortness of breath] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Bluish lips or face] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Dizziness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Running nose] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Sore throat] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Nausea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Vomiting] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Abdominal pain] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Diarrhea] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of smell] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of taste] |
No |
Are you currently experiencing any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Are you currently experiencing any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Are you currently experiencing any of the following symptoms? [Headache] |
Yes |
Are you currently experiencing any of the following symptoms? [Aches all over the body] |
No |
Are you currently experiencing any of the following symptoms? [Cough] |
No |
Are you currently experiencing any of the following symptoms? [Rapid breathing] |
No |
Are you currently experiencing any of the following symptoms? [Shortness of breath] |
No |
Are you currently experiencing any of the following symptoms? [Wheezing or chest tightness] |
No |
Are you currently experiencing any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Are you currently experiencing any of the following symptoms? [Bluish lips or face] |
No |
Are you currently experiencing any of the following symptoms? [Dizziness] |
No |
Are you currently experiencing any of the following symptoms? [Confusion or inability to arouse] |
No |
Are you currently experiencing any of the following symptoms? [Running nose] |
Yes |
Are you currently experiencing any of the following symptoms? [Sore throat] |
No |
Are you currently experiencing any of the following symptoms? [Nausea] |
No |
Are you currently experiencing any of the following symptoms? [Vomiting] |
No |
Are you currently experiencing any of the following symptoms? [Abdominal Pain] |
No |
Are you currently experiencing any of the following symptoms? [Diarrhea] |
No |
Are you currently experiencing any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of smell] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
None of these medications |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP: COVID-19 Health Assessment for Week of 29 March- 4 April 2020
|
Responses submitted 3/30/2020 10:38:43.
Show responses
|
Timestamp |
3/30/2020 10:38:43 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Headache] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Aches all over the body] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Cough] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Rapid breathing] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Shortness of breath] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Bluish lips or face] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Dizziness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Running nose] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Sore throat] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Nausea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Vomiting] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Abdominal pain] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Diarrhea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of smell] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of taste] |
No |
Are you currently experiencing any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Are you currently experiencing any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Are you currently experiencing any of the following symptoms? [Headache] |
No |
Are you currently experiencing any of the following symptoms? [Aches all over the body] |
No |
Are you currently experiencing any of the following symptoms? [Cough] |
No |
Are you currently experiencing any of the following symptoms? [Rapid breathing] |
No |
Are you currently experiencing any of the following symptoms? [Shortness of breath] |
No |
Are you currently experiencing any of the following symptoms? [Wheezing or chest tightness] |
No |
Are you currently experiencing any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Are you currently experiencing any of the following symptoms? [Bluish lips or face] |
No |
Are you currently experiencing any of the following symptoms? [Dizziness] |
No |
Are you currently experiencing any of the following symptoms? [Confusion or inability to arouse] |
No |
Are you currently experiencing any of the following symptoms? [Running nose] |
No |
Are you currently experiencing any of the following symptoms? [Sore throat] |
No |
Are you currently experiencing any of the following symptoms? [Nausea] |
No |
Are you currently experiencing any of the following symptoms? [Vomiting] |
No |
Are you currently experiencing any of the following symptoms? [Abdominal Pain] |
No |
Are you currently experiencing any of the following symptoms? [Diarrhea] |
No |
Are you currently experiencing any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of smell] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
None of these medications |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP: COVID-19 Health Assessment for Week of 5 April - 11 April 2020
|
Responses submitted 4/6/2020 13:44:54.
Show responses
|
Timestamp |
4/6/2020 13:44:54 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Yes |
Currently are you experiencing ANY of the above list of symptoms? |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Indicate which of the following symptoms you are currently experiencing. [Feeling cold, chills or shivers] |
No |
Indicate which of the following symptoms you are currently experiencing. [Headache] |
No |
Indicate which of the following symptoms you are currently experiencing. [Aches all over the body] |
No |
Indicate which of the following symptoms you are currently experiencing. [Cough] |
No |
Indicate which of the following symptoms you are currently experiencing. [Rapid breathing] |
No |
Indicate which of the following symptoms you are currently experiencing. [Shortness of breath] |
No |
Indicate which of the following symptoms you are currently experiencing. [Wheezing or chest tightness] |
No |
Indicate which of the following symptoms you are currently experiencing. [Persistent pain or pressure in the chest] |
No |
Indicate which of the following symptoms you are currently experiencing. [Bluish lips or face] |
No |
Indicate which of the following symptoms you are currently experiencing. [Dizziness] |
No |
Indicate which of the following symptoms you are currently experiencing. [Confusion or inability to arouse] |
No |
Indicate which of the following symptoms you are currently experiencing. [Running nose] |
No |
Indicate which of the following symptoms you are currently experiencing. [Sore throat] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Nausea] |
No |
Indicate which of the following symptoms you are currently experiencing. [Vomiting] |
No |
Indicate which of the following symptoms you are currently experiencing. [Abdominal Pain] |
No |
Indicate which of the following symptoms you are currently experiencing. [Diarrhea] |
No |
Indicate which of the following symptoms you are currently experiencing. [Pink eye (conjunctivitis)] |
No |
Indicate which of the following symptoms you are currently experiencing. [Loss of sense of smell] |
No |
Indicate which of the following symptoms you are currently experiencing. [Loss of sense of taste] |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
No |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Headache] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Aches all over the body] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Cough] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Rapid breathing] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Shortness of breath] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Bluish lips or face] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Dizziness] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Running nose] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Sore throat] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Nausea] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Vomiting] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Abdominal pain] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Diarrhea] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Loss of sense of smell] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
None of these medications |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP COVID-19 Health Assessment Week 4: 12 April - 18 April 2020
|
Responses submitted 4/14/2020 8:11:50.
Show responses
|
Timestamp |
4/14/2020 8:11:50 |
Are you currently ill with a cold or flu-like illness? |
No |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Yes |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
In the past 2 weeks, which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
In the past 2 weeks, which symptoms have you experienced. [Headache] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Aches all over the body] |
No |
In the past 2 weeks, which symptoms have you experienced. [Cough] |
No |
In the past 2 weeks, which symptoms have you experienced. [Rapid breathing] |
No |
In the past 2 weeks, which symptoms have you experienced. [Shortness of breath] |
No |
In the past 2 weeks, which symptoms have you experienced. [Wheezing or chest tightness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
In the past 2 weeks, which symptoms have you experienced. [Bluish lips or face] |
No |
In the past 2 weeks, which symptoms have you experienced. [Dizziness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Confusion or inability to arouse] |
No |
In the past 2 weeks, which symptoms have you experienced. [Running nose] |
No |
In the past 2 weeks, which symptoms have you experienced. [Sore throat] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Nausea] |
No |
In the past 2 weeks, which symptoms have you experienced. [Vomiting] |
No |
In the past 2 weeks, which symptoms have you experienced. [Abdominal pain] |
No |
In the past 2 weeks, which symptoms have you experienced. [Diarrhea] |
No |
In the past 2 weeks, which symptoms have you experienced. [Pink eye (conjunctivitis)] |
No |
In the past 2 weeks, which symptoms have you experienced. [Loss of sense of smell] |
No |
In the past 2 weeks, which symptoms have you experienced. [Loss of sense of taste] |
No |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Headache] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Aches all over the body] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Cough] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Rapid breathing] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Shortness of breath] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Bluish lips or face] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Dizziness] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Running nose] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Sore throat] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Nausea] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Vomiting] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Abdominal pain] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Diarrhea] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Loss of sense of smell] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
None of these medications |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP COVID-19 Health Assessment [Ongoing]
|
Responses submitted 5/27/2020 17:23:55.
Show responses
|
Timestamp |
5/27/2020 17:23:55 |
Are you currently ill with a cold or flu-like illness? |
No |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
In the past 2 weeks, which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
In the past 2 weeks, which symptoms have you experienced. [Headache] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Aches all over the body] |
No |
In the past 2 weeks, which symptoms have you experienced. [Cough] |
No |
In the past 2 weeks, which symptoms have you experienced. [Rapid breathing] |
No |
In the past 2 weeks, which symptoms have you experienced. [Shortness of breath] |
No |
In the past 2 weeks, which symptoms have you experienced. [Wheezing or chest tightness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
In the past 2 weeks, which symptoms have you experienced. [Bluish lips or face] |
No |
In the past 2 weeks, which symptoms have you experienced. [Dizziness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Confusion or inability to arouse] |
No |
In the past 2 weeks, which symptoms have you experienced. [Running nose] |
No |
In the past 2 weeks, which symptoms have you experienced. [Sore throat] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Nausea] |
No |
In the past 2 weeks, which symptoms have you experienced. [Vomiting] |
No |
In the past 2 weeks, which symptoms have you experienced. [Abdominal pain] |
No |
In the past 2 weeks, which symptoms have you experienced. [Diarrhea] |
No |
In the past 2 weeks, which symptoms have you experienced. [Pink eye (conjunctivitis)] |
No |
In the past 2 weeks, which symptoms have you experienced. [Loss of sense of smell] |
No |
In the past 2 weeks, which symptoms have you experienced. [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
None of these medications |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP COVID-19 Health Assessment [Ongoing]
|
Responses submitted 6/12/2020 12:14:15.
Show responses
|
Timestamp |
6/12/2020 12:14:15 |
Are you currently ill with a cold or flu-like illness? |
No |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
In the past 2 weeks, which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
In the past 2 weeks, which symptoms have you experienced. [Headache] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Aches all over the body] |
No |
In the past 2 weeks, which symptoms have you experienced. [Cough] |
No |
In the past 2 weeks, which symptoms have you experienced. [Rapid breathing] |
No |
In the past 2 weeks, which symptoms have you experienced. [Shortness of breath] |
No |
In the past 2 weeks, which symptoms have you experienced. [Wheezing or chest tightness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
In the past 2 weeks, which symptoms have you experienced. [Bluish lips or face] |
No |
In the past 2 weeks, which symptoms have you experienced. [Dizziness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Confusion or inability to arouse] |
No |
In the past 2 weeks, which symptoms have you experienced. [Running nose] |
No |
In the past 2 weeks, which symptoms have you experienced. [Sore throat] |
No |
In the past 2 weeks, which symptoms have you experienced. [Nausea] |
No |
In the past 2 weeks, which symptoms have you experienced. [Vomiting] |
No |
In the past 2 weeks, which symptoms have you experienced. [Abdominal pain] |
No |
In the past 2 weeks, which symptoms have you experienced. [Diarrhea] |
No |
In the past 2 weeks, which symptoms have you experienced. [Pink eye (conjunctivitis)] |
No |
In the past 2 weeks, which symptoms have you experienced. [Loss of sense of smell] |
No |
In the past 2 weeks, which symptoms have you experienced. [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
None of these medications |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |